Provider Demographics
NPI:1457456014
Name:WIPFF, TRIA SYKES (DC)
Entity Type:Individual
Prefix:DR
First Name:TRIA
Middle Name:SYKES
Last Name:WIPFF
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 BEECHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-1023
Mailing Address - Country:US
Mailing Address - Phone:978-794-8100
Mailing Address - Fax:
Practice Address - Street 1:46 BEECHWOOD DR
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-1023
Practice Address - Country:US
Practice Address - Phone:978-794-8100
Practice Address - Fax:978-794-8188
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor